Clinical trial • Phase II • Cardiology|Nephrology

DAPAGLIFLOZIN PROPANEDIOL for Chronic kidney disease

Phase II trial of DAPAGLIFLOZIN PROPANEDIOL for Chronic kidney disease.

Overview

Trial Therapeutic Area
Cardiology|Nephrology
Trial Disease
Chronic kidney disease
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
07-10-2024
First CTIS Authorization Date
15-10-2024

Trial design

Randomised, placebo (identical in appearance; ingredients listed: fda/e172 red iron oxide, titanium dioxide, hydromellose). no dose or schedule for dapagliflozin or placebo is specified in the provided data.-controlled Phase II trial across 2 sites in Denmark.

Randomised
Yes
Comparator
Placebo (identical in appearance; ingredients listed: FDA/E172 Red Iron Oxide, Titanium dioxide, Hydromellose). No dose or schedule for dapagliflozin or placebo is specified in the provided data.
Target Sample Size
260
Trial Duration For Participant
183

Eligibility

Recruits 260 No vulnerable populations selected. Signed informed consent is required. Participants must be able to understand and read Danish..

Pregnancy Exclusion
- Female patients should either not be of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile, or is of childbearing potential and practicing one of the following methods of contraception throughout the study and for 30 days after study completion: Hormonal contraception (oral contraceptives, contraceptive implant, injectable birth control, contraceptive patch, or vaginal ring) or intrauterine device
Vulnerable Population
No vulnerable populations selected. Signed informed consent is required. Participants must be able to understand and read Danish.

Inclusion criteria

  • {"criterion_text":"-\tSigned informed consent\n-\t≥ 18 years of age\n-\tFor those not undergoing dialysis: o\tChronic Kidney Disease (CKD), defined as evidence of decreased eGFR (eGFR >=20 and <60 mL/min/1.73 m2) at least 3 months before and at the time of screening or evidence of albuminuria present for > 3 months if eGFR >60\n-\tFor those undergoing hemodialysis: Initiation of hemodialysis within 1 year of the randomization visit\n-\tStable treatment with clinically appropriate doses of ACEi/ARB among CKD patients with proteinuria, if not medically contraindicated\n-\tFor patients with type 2 diabetes: o\tStable antihyperglycemic treatment > 30 days before screening\n-\tFemale patients should either not be of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile, or is of childbearing potential and practicing one of the following methods of contraception throughout the study and for 30 days after study completion: Hormonal contraception (oral contraceptives, contraceptive implant, injectable birth control, contraceptive patch, or vaginal ring) or intrauterine device\n-\tAbility to understand and read Danish"}

Exclusion criteria

  • {"criterion_text":"-Type 1 diabetes\n-•\tFor dialysis participants: Known hepatic impairment documented in the participants electronic health record\n-Known blood-borne diseases, such as Hepatitis A, B, C, D, and E, and Human immunodeficiency virus (HIV) types 1 and 2, Ebola, Lassa fever virus.\n-For patients with type 2 diabetes: o\tHistory of diabetic ketoacidosis\n-History of organ transplant\n-Treatment with SGLT2 inhibitor within 8 weeks (not undergoing dialysis) or 4 weeks (undergoing dialysis) prior to enrolment\n-Known allergy or hypersensitivity to SGLT2 inhibitors or Placebo ingredients\n-Myocardial infarction, unstable angina, stroke or transient ischemic attack within 12 weeks of enrolment\n-Coronary revascularization (percutaneous coronary intervention or coronary artery bypass grafting) or valvular repair/replacement within 12 weeks prior to enrolment\n-Any condition outside the renal and cardiovascular study area with a life expectancy of <2 years based on investigator’s clinical judgement\n-For non-dialysis participants: Hepatic impairment (aspartate transaminase or alanine transaminase >3 times the upper limit of normal [ULN] or total bilirubin >2 times the ULN at the time of enrolment)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in LV mass index assessed by echocardiography at 6 months","definition_or_measurement_approach":"Assessed by echocardiography at 6 months (change from baseline)."}

Secondary endpoints

  • {"endpoint_text":"- Change in LV ejection fraction at 6 months\n- Change in global longitudinal strain at 6 months\n- Change in LV end-diastolic volume at 6 months\n- Change in LV end-systolic volume at 6 months\n- Change in left atrial volume index at 6 months\n- Change in creatinine/eGFR at 6 months\n- Change in UACR at 6 months\n- Change in haemoglobin at 6 months\n- Change in proBNP at 6 months\n- Change in Troponin at 6 months\n- Change in LV mass at 6 months","definition_or_measurement_approach":"Each endpoint measured as change from baseline to 6 months (echocardiographic measures for cardiac endpoints; laboratory measures for creatinine/eGFR, UACR, haemoglobin, proBNP, Troponin)."}

Recruitment

Planned Sample Size
260
Recruitment Window Months
67
Consent Approach
Signed informed consent required from participants. Participants must be able to understand and read Danish. Subject information and informed consent form documents are listed in the trial documents. No assent or parental consent procedures are indicated (adult-only population).

Geography

Total Number Of Sites
2
Total Number Of Participants
260

Denmark

Earliest CTIS Part Ii Submission Date
07-10-2024
Latest Decision Or Authorization Date
29-01-2025
Processing Time Days
114
Number Of Sites
2
Number Of Participants
260

Sites

Site Name
Gentofte Hospital
Department Name
Department of Cardiology
Principal Investigator Name
Katja Vu Bartholdy
Principal Investigator Email
katja.vu.bartholdy@regionh.dk
Contact Person Name
Katja Vu Bartholdy
Contact Person Email
katja.vu.bartholdy@regionh.dk
Site Name
Herlev og Gentofte Hospital, Region H
Department Name
Department of Nephrology
Contact Person Name
Ditte Hansen
Contact Person Email
ditte.hansen.04@regionh.dk

Sponsor

Primary sponsor

Full Name
Gentofte Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"GCP-enheden ved Københavns Universitetshospital","duties_or_roles":"sponsorDuties code 1","organisation_type":"Health care"}

Investigational products

Investigational Product Name
DAPAGLIFLOZIN
Active Substance
DAPAGLIFLOZIN PROPANEDIOL
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus: 2; marketingAuthNumber: -; euMpNumber: SCP100377942
Investigational Product Name
The placebo will be identical in apperance and contains the following ingredients: FDA/E172 Red Iron Oxide, Titanium dioxide, Hydromellose.
Modality
Other

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